| NPI | 1275851784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336171-1) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2021-05-07 |